Judith Ann Dietzler, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

40320 Issued in MO

Practice address

1035 Bellevue Ave
Clayton Health Services Pharmacy
Saint Louis, MO 63117-1854

Phone

(314) 768-8870

Fax

(314) 768-8871

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003899956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 DORNE DR",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630216876",
            "telephone_number": "636-861-3447",
            "fax_number": "317-768-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BELLEVUE AVE",
            "address_2": "CLAYTON HEALTH SERVICES PHARMACY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171854",
            "telephone_number": "314-768-8870",
            "fax_number": "314-768-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZLER",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "40320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan J Diestler, CRNA
• Patrick Dieter
• Karissa Leann Dieterich, PHARM D
• Constance Dietrick, LCSW
• Morgan Dietz
• Nicole Difani, MS, RD, LD
• Janet Jeanenne Diffey, ANP-BC
• Colin E Diffie, MD
• Michael Boswell Diffley
• Digestive Health Care LLC

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.